Increasing Knowledge, Self-Efficacy and Hemoglobin Levels in Pre-Conception Women through Nutrition Assistance Program
Abstract
Anemia, which is associated with various complications during pregnancy and childbirth can be prevented, especially in pre-conception or pre-pregnancy women, by fulfilling nutrition needs. One way to achieve this is by implementing nutrition assistance programs specifically designed for pregnant women or those planning to conceive. Therefore, this study aims to examine the impact of a dietary support program on the knowledge, self-efficacy, and hemoglobin level of pre-conception women. The design used was a non-randomized controlled trial with a pretest-posttest approach, while the sample consisted of married women preparing to get pregnant, with a total of 67 people meeting the inclusion criteria. Data obtained were analyzed using the Wilcoxon Signed Ranks Test and Independent sample T-test. The results demonstrated a significant difference in knowledge levels (p=0.000), self-efficacy (p=0.000), and hemoglobin levels (p=0.000) between the intervention and control groups. Therefore, it is essential to address the readiness of pre-conception women, particularly regarding their nutrition status, to prevent potential complications that may arise during pregnancy and childbirth.
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Agampodi, T., Katumuluwa, S., Pattiyakumbura, T., Rankaduwa, N., Dissanayaka, T., & Agampodi, S. (2019). Feasibility of incorporating mindfulness-based mental health promotion to the pregnancy care program in Sri Lanka: A pilot study. F1000Research, 7, 1-15. https://doi.org/10.12688/f1000research.17049.1
Aulya, Y., Siauta, J. A., & Nizmadilla, Y. (2022). Analisis Anemia pada Remaja Putri. Jurnal Penelitian Perawat Profesional, 4(4), 1377-1386. https://doi.org/10.37287/jppp.v4i4.1259
Carfora, V., Caso, D., & Conner, M. (2017). Randomized controlled trial of a text messaging intervention for reducing processed meat consumption: The mediating roles of anticipated regret and intention. Appetite, 117, 152-160. https://doi.org/10.1016/j.appet.2017.06.025
Christiany, I., Waluyo, K. O., & Muafiro, A. (2021). Peer Education, Nutritionist Education and Combination Education on Intake Nutrition and Iron (Fe) Against Changes of Hemoglobin in a Girls Adolescent Irine. Health Notion, 5(7), 248-252. http://heanoti.com/index.php/hn/article/view/hn50704
da Silva Lopes, K., Yamaji, N., Rahman, M. O., Suto, M., Takemoto, Y., Garcia-Casal, M. N., & Ota, E. (2021). Nutrition-specific interventions for preventing and controlling anemia throughout the life cycle: an overview of systematic reviews. Cochrane Database of Systematic Reviews, 2021(9). https://doi.org/10.1002/14651858.CD013092.pub2
De Villiers, A., Steyn, N. P., Draper, C. E., Hill, J., Gwebushe, N., Lambert, E. V., & Lombard, C. (2016). Primary school children's nutrition knowledge, self-efficacy, and behavior, after a three-year healthy lifestyle intervention (HealthKick). Ethnicity and Disease, 26(2), 171-180. https://doi.org/10.18865/ed.26.2.171
Dieny, F. F., Maadi, A. K., Wijayanti, H. S., Tsani, A. F. A., & Nissa, C. (2019). Asupan Zat Gizi Dan Kadar Hemoglobin Wanita Prakonsepsi Di Kabupaten Semarang. Indonesian Journal of Human Nutrition, 6(2), 70-83. https://doi.org/10.21776/ub.ijhn.2019.006.02.2
Dineti, A., Maryani, D., Purnama, Y., Asmariyah, A., & Dewiani, K. (2022). Hubungan Pola Menstruasi dengan Kejadian Anemia pada Remaja Putri di Wilayah Pesisir Kota Bengkulu. Jurnal Surya Medika, 8(3), 86-91. https://doi.org/10.33084/jsm.v8i3.4503
Fealy, S., Attia, J., Leigh, L., Oldmeadow, C., Hazelton, M., Foureur, M., Collins, C. E., Smith, R., & Hure, A. (2020). Demographic and social-cognitive factors associated with gestational weight gain in an Australian pregnancy cohort. Eating Behaviors, 39, 101430. https://doi.org/https://doi.org/10.1016/j.eatbeh.2020.101430
Ghaffari, M., Hatami, H., Rakhshanderou, S., & Karimi, H. (2017). Effectiveness of snack-centered nutrition education on promoting knowledge, attitude, and nutritional behaviors in elementary students. International Journal of Pediatrics, 5(12), 6495-6502. https://doi.org/10.22038/ijp.2017.24531.2067
Girard, A. W., & Olude, O. (2012). Nutrition education and counseling provided during pregnancy: Effects on maternal, neonatal and child health outcomes. Pediatric and Perinatal Epidemiology, 26(SUPPL. 1), 191-204. https://doi.org/10.1111/j.1365-3016.2012.01278.x
Goetz, M., Schiele, C., Müller, M., Matthies, L. M., Deutsch, T. M., Spano, C., Graf, J., Zipfel, S., Bauer, A., Brucker, S. Y., Wallwiener, M., & Wallwiener, S. (2020). Effects of a brief electronic mindfulness-based intervention on relieving prenatal depression and anxiety in hospitalized high-risk pregnant women: Exploratory pilot study. Journal of Medical Internet Research, 22(8). https://doi.org/10.2196/17593
Goode, R. W., Kalarchian, M. A., Craighead, L., Conroy, M. B., Wallace, J. J., Eack, S. M., & Burke, L. E. (2018). The feasibility of a binge eating intervention in Black women with obesity. Eating Behaviors, 29, 83-90. https://doi.org/10.1016/j.eatbeh.2018.03.005
Grace, R. F., & Glader, B. (2018). Red Blood Cell Enzyme Disorders. Pediatric Clinics of North America, 65(3), 579-595. https://doi.org/10.1016/j.pcl.2018.02.005
Herliani, S., & Yustiana, I. (2016). Hubungan Status Pekerjaan dan Pendidikan dengan Pengetahuan Ibu Hamil Tentang Tanda Bahaya Kehamilan. Jurnal Obstretika Scientia Vol, 4(1). https://dx.doi.org/10.55171/obs.v4i1.165
Jalambo, M., Karim, N., Naser, I., & Sharif, R. (2018). Effects of iron supplementation and nutrition education on hemoglobin, ferritin, and oxidative stress in iron-deficient female adolescents in Palestine: Randomized control trial. Eastern Mediterranean Health Journal, 24(6), 560-568. https://doi.org/10.26719/2018.24.6.560
Kamalaja, T., Prashanthi, M., & Rajeswari, K. (2018). Effectiveness of Health and Nutritional Education Intervention to Combat Anemia Problem among Adolescent Girls. International Journal of Current Microbiology and Applied Sciences, 7(09), 3152-3162. https://doi.org/10.20546/ijcmas.2018.709.393
Khani Jeihooni, A., Hoshyar, S., Afzali Harsini, P., & Rakhshani, T. (2021). The effect of nutrition education based on PRECEDE model on iron deficiency anemia among female students. BMC Womens Health, 21(1), 1-9. https://doi.org/10.1186/s12905-021-01394-2
Kim, H. J., Mok, H. J., Hong, J. I., & NamGung, S. A. (2012). Effects of Custom Nutrition Education on Dietary Intakes and Clinical Parameters in Patients Diagnosed with Iron Deficiency Anemia. Journal of the Korean Dietetic Association, 18(1), 72-80. https://doi.org/10.14373/jkda.2012.18.1.072
Kusnadi, F. N. (2021). Hubungan Tingkat Pengetahuan Tentang Anemia dengan Kejadian Anemia pada Remaja Putri. Jurnal Medika Hutama, 03(01), 1293-1298. http://www.jurnalmedikahutama.com/index.php/JMH/article/view/266/181
Kye, S. Y., Hwang, S. Y., Oh, K. H., & Jun, J. K. (2019). Effects of a cancer prevention education program on elementary school student's knowledge, attitude, self-efficacy, and intentions in South Korea. Epidemiology and Health, 41, e2019027. https://doi.org/10.4178/epih.e2019027
Lönnberg, G., Jonas, W., Unternaehrer, E., Bränström, R., Nissen, E., & Niemi, M. (2020). Effects of a mindfulness-based childbirth and parenting program on pregnant women's perceived stress and risk of perinatal depression-Results from a randomized controlled trial. Journal of Affective Disorders, 262(October 2019), 133-142. https://doi.org/10.1016/j.jad.2019.10.04 8
Marfuah, D., & Dyah Kusudaryati, D. P. (2016). Efektifitas Edukasi Gizi Terhadap Perbaikan Asupan Zat Besi Pada Remaja Putri. Profesi (Profesional Islam) : Media Publikasi Penelitian, 14(1), 5. https://doi.org/10.26576/profesi.129
Marquis, G. S., Colecraft, E. K., Kanlisi, R., Aidam, B. A., Atuobi-Yeboah, A., Pinto, C., & Aryeetey, R. (2018). An agricuture nutrition intervention improved children's diet and growth in a randomized trial in Ghana. Maternal and Child Nutrition, 14(July), 1-10. https://doi.org/10.1111/mcn.12677
McFadden, S. M., Ko, L. K., Shankar, M., Ibrahim, A., Berliner, D., Lin, J., Mohamed, F. B., Amsalu, F., Ali, A. A., Jang, S. H., & Winer, R. L. (2021). Development and evaluation of an online continuing education course to increase healthcare provider self-efficacy to make strong HPV vaccine recommendations to East African immigrant families. Tumour virus research, 11, 200214. https://doi.org/10.1016/j.tvr.2021.200214
McLoughlin, G. (2020). Intermittent iron supplementation for reducing anemia and its associated impairments in adolescent and adult menstruating women. International Journal of Evidence-Based Healthcare, 18(2), 274-275. https://doi.org/10.1097/XEB.0000000000000212
Mégier, C., Peoch, K., Puy, V., & Cordier, A. G. (2022). Iron Metabolism in Normal and Pathological Pregnancies and Fetal Consequences. Metabolites, 12(2). https://doi.org/10.3390/metabo12020129
Metwally, A. M., Hanna, C., Galal, Y. S., Saleh, R. M., Ibrahim, N., & Labib, N. A. (2020). Impact of nutritional health education on knowledge and practices of mothers of anemic children in el othmanyia village - Egypt. Open Access Macedonian Journal of Medical Sciences [revista en Internet] 2020 [acceso 10 de septiembre de 2021]; 8(2020): 458-. Macedonian Journal of Medical Sciences, 8(August 2018), 458-465. https://oamjms.eu/index.php/mjms/article/view/4570/5047
Mustafa, A., & Maulidiana, A. R. (2019). The effectiveness of nutrition education about local specific food-based balanced nutrition recommendation on dietary intake level and anemia status in female adolescents at the hidayatullah arrohmah Islamic boarding school malang. KnE Life Sciences, 23-31. https://doi.org/10.18502/kls.v4i15.5730
Nonguierma, E., Lesco, E., Olak, R., Welch, H., Zar Alam, N., Bonyadi, J., & Hopkins, L. (2022). Improving Obesogenic Dietary Behaviors among Adolescents: A Systematic Review of Randomized Controlled Trials. Nutrients, 14(21), 4592. https://doi.org/10.3390/nu14214592
Nuutila, K., Tapola, A., Tuominen, H., Molnár, G., & Niemivirta, M. (2021). Mutual relationships between the levels of and changes in interest, self-efficacy, and perceived difficulty during task engagement. Learning and Individual Differences, 92, 102090. https://doi.org/10.1016/j.lindif.2021.102090
Prasitwattanaseree, P., Sinsucksai, N., Prasopkittikun, T., & Viwatwongkasem, C. (2019). Effectiveness of breastfeeding skills training and support program among first-time mothers: A randomized control trial. Pacific Rim International Journal of Nursing Research, 23(3), 258-270.
Putri, V. P., Priyatama, A. N., & Karyanta, N. A. (2015). Hubungan antara Efikasi Diri dan Optimisme dengan Keterikatan pada Karyawan PT. Bank Tabungan Negara (Persero) Cabang Solo Relationship between Self-Efficacy and Optimism with Engagement on The Employees of PT. Bank Tabungan Negara (Persero) Branch of Sol. Jurnal Wacana, 67-81. https://jurnalwacana.psikologi.fk.uns.ac.id/index.php/wacana/article/download/77/77
Rahmah, A. A., Yani, D. I., Eriyani, T., & Rahayuwati, L. (2023). Hubungan Pendidikan Ibu Dan Keterpaparan Informasi Stunting Dengan Pengetahuan Ibu Tentang Stunting. Journal of Nursing Care, 6(1), 1-10.
Rahmawati, R., Umar, S., & Meti. (2017). Hubungan Anemia Pada ibu Hamil dengan Kejadian Bayi Berat Lahir Rendah di Klinik Pratama Fatimah Medan. Media Kebidanan, 27-32.
Sari, H. P., Subardjo, Y. P., & Zaki, I. (2019). Nutrition education, hemoglobin levels, and nutrition knowledge of adolescent girls in Banyumas district. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 6(3), 107. https://doi.org/10.21927/ijnd.2018.6(3).107-112
Safitri, R. W., Ningrum, E. W., & Suryani, R. L. (2021, November). Hubungan Tingkat Pengetahuan dengan Efikasi Diri Pemberian Kolostrum pada Ibu Hamil Trimester III di Puskesmas Purwokerto Selatan. In Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (pp. 854-861). https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/752
Seguin-Fowler, R. A., Hanson, K. L., Jilcott Pitts, S. B., Kolodinsky, J., Sitaker, M., Ammerman, A. S., Marshall, G. A., Belarmino, E. H., Garner, J. A., & Wang, W. (2021). Community supported agriculture plus nutrition education improves skills, self-efficacy, and eating behaviors among low-income caregivers but not their children: a randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 1-19. https://doi.org/10.1186/s12966-021-01168-x
Shafaei, F. S., Mirghafourvand, M., & Havizari, S. (2020). The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: A randomized controlled clinical trial. BMC Womens Health, 20(1), 1-10. https://doi.org/10.1186/s12905-020-00947-1
Skolmowska, D., Głąbska, D., Kołota, A., & Guzek, D. (2022). Effectiveness of Dietary Interventions in Prevention and Treatment of Iron-Deficiency Anemia in Pregnant Women: A Systematic Review of Randomized Controlled Trials. Nutrients, 14(15), 1-15. https://doi.org/10.3390/nu14153023
Sunuwar, D. R., Sangroula, R. K., Shakya, N. S., Yadav, R., Chaudhary, N. K., & Pradhan, P. M. S. (2019). Effect of nutrition education on hemoglobin level in pregnant women: A quasi-experimental study. PLoS ONE, 14(3), 1-12. https://doi.org/10.1371/journal.pone.0213982
Tramontt, C. R., & Jaime, P. C. (2020). Improving knowledge, self-efficacy and collective efficacy regarding the Brazilian dietary guidelines in primary health care professionals: a community controlled trial. BMC Family Practice, 21(1), 1-9. https://doi.org/10.1186/s12875-020-01245-3
Wan-Lin, P., Chang, C.-W., Shin-Ming, C., & Gau, M.-L. (2019). Assessing the effectiveness of mindfulness-based programs on mental health during pregnancy and early motherhood - a randomized control trial. BMC Pregnancy and Childbirth, 19. http://dx.doi.org/10.1186/s12884-019-2503-4
Wiafe, M. A., Apprey, C., & Annan, R. A. (2022). Effectiveness of nutrition education and counseling program on iron deficiency anemia among adolescents: A study protocol of a randomized trial. Nutrition and Health, 28(3), 301-309. https://doi.org/10.1177/02601060221074433
Yusoff, H., Wan Daud, W. N., & Ahmad, Z. (2013). Effectiveness of nutrition education vs. non-nutrition education intervention in improving awareness about iron deficiency among anemic adolescents. Iranian Journal of Public Health, 42(5), 467-471. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684454/
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